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k Page 2 ■ B. NO. <br />1 (4) The legal name of the candidate, the name by which the <br />2 candidate is commonly known, if different, the office <br />3 for which the candidate is running, and the <br />4 candidate's party affiliation or nonpartisanship; all <br />5 of which are to be placed on the nomination paper by <br />6 the chief election officer or the clerk prior to <br />7 releasing the form to the candidate; <br />8 (5) Space for the name, signature, date of birth, last four <br />9 digits of the social security number, and residence <br />10 address of each registered voter signing the form, and <br />11 other information as determined by the chief election <br />12 officer; provided that no more than the last four <br />13 digits of a voter's social security number shall be <br />14 required; <br />15 (6) A sworn certification by self - subscribing oath by the <br />16 candidate that the candidate qualifies under the law <br />17 for the office the candidate is seeking and that the <br />18 candidate has determined that, except for the <br />19 information provided by the registered voters signing <br />20 the nomination papers, all of the information on the <br />21 nomination papers is true and correct; <br />